Seven-day Service Research Articles

Research on the Influencing Factors of the Return and Exchange Rate of E-commerce Live Broadcast

With the rapid popularization of the Internet, live broadcast has become an increasingly popular e-commerce promotion and marketing strategy. Article 25 of the Consumer Protection Law stipulates that live broadcast with goods as a new online shopping method provides a seven-day service of goods return and exchange without reason. Therefore, it is of great importance to study the return and exchange service of live broadcast e-commerce. This paper analyzes the impact of live broadcast e-commerce return service on sales data from the perspective of merchants and consumers, and helps e-commerce with high return rate to find the reason.

Impact of an Orthopedic-Delivered 'One-Stop' Clinic for Ambulatory Trauma on Emergency Department and Fracture Clinic Pressures During the COVID-19 Pandemic.

Introduction: In March 2020, the World Health Organization declared the severe acute respiratory syndrome (SARS) (coronavirus disease, COVID-19) outbreak as a pandemic. In response to the rising number of coronavirus cases in the United Kingdom, the British Orthopaedic Association (BOA) issued a series of emergency guidelines for the management of trauma and orthopedic patients during the pandemic. In line with this guidance, the orthopedic team at the Worcestershire Royal Hospital set up a ‘one-stop-shop’ minor injuries unit (MIU). This seven-day service provided a direct pathway to the trauma clinic for ambulatory patients who would usually be managed in the emergency department (ED), intending to reduce both the pressure on the ED and the need for further follow-up appointments. The aim of this project was to evaluate the service provided to patients and to inform our practice during the next stages of the pandemic and beyond.Materials and methods: Data were collected retrospectively from a clinic database, dictated letters, and scanned patient notes. The data collection period was over six weeks from April 6, 2020 to May 18, 2020. Data collected included patient age and gender, time of arrival and departure, grade of reviewing clinician, diagnosis, treatment, and outcome of clinic attendance, including the timing of follow-up.Results: Some 700 patients were seen in the MIU over six weeks. Some 98% of patients were seen by an orthopedic registrar (resident) or a consultant (attending) and 85% were seen and treated within an hour. Some 71% of patients were discharged after their initial appointment, and only nine patients (1%) required a fracture clinic appointment within 72 hours. A total of 15 patients (2%) re-attended with concerns, and just four of these required additional interventions.Conclusions: We delivered a seven-day minor injuries service in which the majority of patients received definitive management at first attendance, reducing the demand for fracture clinic appointments. Some 700 patients who would have been treated in the ED were seen in the MIU instead, relieving pressure on the ED. The lessons learned allowed us to plan for the 'second peak' in COVID-19 cases and will inform ongoing practice as we work to recover elective services.

National audit of seven-day working care in radiology.

ObjectivesTo evaluate the extent to which our current provision of diagnostic and interventional radiology services matches existing clinical demand and future government proposals as set out in the Royal College of Radiologists published guidance on providing seven-day acute care.MethodsIn June 2018, all UK radiology department audit leads were sent a questionnaire designed to assess compliance for each standard of the Royal College of Radiologists published guidance on providing seven-day acute care.Results135 hospitals (68%) responded. Of those that responded, 96% of departments have a diagnostic radiologist rota for clinicians to discuss acute cases and review imaging and 48% of departments do not have a fully staffed consultant rota 24 h a day, seven days a week for interventional radiology. There is significant variance in MRI radiographer availability within departments, ranging from 18.8% during Saturday/Sunday evening/overnight up to a maximum of 63.9% during Saturday daytime. 11% of departments participate in a regional out of hours cross-organisation reporting rota. 40% of departments have no 24/7 RIS technical support and 34% have no PACS technical support out of hours.ConclusionThere is a wide variation in practice across radiology departments in the UK. Although there are some standards that the majority of hospitals are achieving, there is a significant short-fall in fundamental aspects of providing acute seven-day care. The multifactorial nature in which these problems have arisen means there is no easy solution to combat these issues. There is a requirement for significant investment and political commitment to improve staffing and infrastructure in order to address the current situation.Advances in knowledgeA UK wide evaluation of the current provision of seven-day working in radiology showing 54% of hospitals do not have a UK working-time regulations compliant Interventional radiology rota, severe lack of availability of acute MRI out of hours and significant deficiencies in providing technical support out of hours. A sustainable and efficient seven-day service is currently not being provided.

Situation of seven-day service among family medicine clinics in Taiwan: A nationwide survey

BackgroundGeneral medicine practices in England are required to provide services from 8am to 8pm on weekdays and to also open on Saturdays and Sundays. Internationally, however, the literature regarding the temporal availability of primary health care on national levels is scarce. MethodsTo provide such information regarding Taiwan, in this study, all family medicine clinics within Taiwan's National Health Insurance system were stratified by urbanization level, and the opening hours of the clinics were then analyzed. The opening hours of the clinics were downloaded and the data were extracted cross-sectionally in July 2015. For each clinic, the number of open sessions (in terms of morning, afternoon, and evening sessions) per week was calculated. For each urbanization level, the opening ratios for out-of-hours services and for seven-day services were also analyzed. ResultsAmong 1621 family medicine clinics, 835 were located in urban areas, 563 were suburban, and 223 were rural. The average numbers of open sessions per week among urban and suburban clinics were higher than among rural clinic (15.7 ± 3.7 and 15.8 ± 3.7 vs. 14.4 ± 4.0). Urban and suburban clinics also had higher opening ratios on weekday evenings and on weekends than rural clinics. Only 53 (3.3%) of all the clinics (29 urban clinics, 18 suburban clinics, and 7 rural clinics) remained open for all 21 sessions of a week. ConclusionThe great majority of family medicine clinics in Taiwan voluntarily offered out-of-hours services, but only a small minority remained open in all 21 sessions of a week.

Management of oral and maxillofacial infections in a regional unit: a seven day service?

The provision of a seven-day National Health Service (NHS) has been proposed as a means to halt the weekend delay in treatment that has been described in some studies. We tested the emergency services in the Oral and Maxillofacial Surgery Department at Northampton General Hospital to find out whether they provided a seven-day service. Data were collected prospectively and retrospectively for all patients admitted to the Oral and Maxillofacial Department at Northampton General Hospital with infections of the head and neck during a period of 29months (January 2014–May 2016). Duration of hospital stay and waiting time for operation were compared for weekday and weekend admissions to find out if there were changes in either outcomes or waiting times. The severity of infection between the two periods was also assessed using the serum C reactive protein (CRP) concentration as a marker. A total of 293 patients were admitted with head and neck infections, and the mean (range) duration of stay for those admitted on weekdays was 3 (1–14) days and for patients admitted at a weekend was 3 (1–17) days (p=0.14). However, the waiting times for operation were significantly longer during the week (mean (range) 0.6 (0–8) days) than at the weekend (0.5 (0–3) days, p=0.04). We know of no other published studies about provision of a seven-day service in oral and maxillofacial surgery. Our results show that we are already working to that standard, and this raises the question of whether any changes are required to current practice in the NHS, with their associated costs and upheaval.

Do expanded seven-day NHS services improve clinical outcomes? Analysis of comparative institutional performance from the \u201cNHS Services, Seven Days a Week\u201d project 2013\u20132016

BackgroundThe cause of adverse weekend clinical outcomes remains unknown. In 2013, the “NHS Services, Seven Days a Week” project was initiated to improve access to services across the seven-day week. Three years on, we sought to analyse the impact of such changes across the English NHS.MethodsAggregated trust-level data on crude mortality rates, Summary Hospital-Level Mortality Indicator (SHMI), mean length of stay (LOS), A&E admission and four-hour breach rates were obtained from national Hospital Episode Statistics and A&E datasets across the English NHS, excluding mental and community health trusts. Trust annual reports were analysed to determine the presence of any seven-day service reorganisation in 2013–2014. Funnel plots were generated to compare institutional performance and a difference in differences analysis was performed to determine the impact of seven-day changes on clinical outcomes between 2013 and 2014, 2014–2015 and 2015–2016. Data was summarised as mean (SD).ResultsOf 159 NHS trusts, 79 (49.7%) instituted seven-day changes in 2013–2014. Crude mortality rates, A&E admission rates and mean LOS remained relatively stable between 2013 and 2016, whilst A&E four-hour breach rates nearly doubled from 5.3 to 9.7%. From 2013 to 2014 to 2014–2015 and 2015–2016, there were no significant differences in the change in crude mortality (2014–2015 p = 0.8, 2015–2016 p = 0.9), SHMI (2014–2015 p = 0.5, 2015–2016 p = 0.5), mean LOS (2014–2015 p = 0.5, 2015–2016 p = 0.4), A&E admission (2014–2015 p = 0.6, 2015–2016 p = 1.0) or four-hour breach rates (2014–2015 p = 0.06, 2015–2016 p = 0.6) between trusts that had implemented seven-day changes compared to those which had not.ConclusionsAdverse weekend clinical outcomes may not be ameliorated by large scale reorganisations aimed at improving access to health services across the week. Such changes may negatively impact care quality without additional financial investment, as demonstrated by worsening of some outcomes. Detailed prospective research is required to determine whether such reallocation of finite resources is clinically effective.

A seven-day service: What's the plan?

The concept of a ‘seven-day’ NHS has been debated ad infinitum – but are there benefits to extending GP services?

Get a grip on nurse supply, MPs tell health bodies.

Organisations in charge of NHS staffing have been told to 'get a better grip' on the supply of nurses while they attempt to create a seven-day service.

Without additional funding, some hospital pharmacies may struggle to implement seven-day service effectively

Without additional funding, some hospital pharmacies may struggle to implement seven-day service effectively

DH sets sights on unsocial hours pay in drive for seven-day service.

The Department of Health (DH) has put itself on a collision course with nurses and other NHS workers with its latest threat to their pay.

Funding for pharmacists will support GPs to deliver seven-day service

Funding for pharmacists will support GPs to deliver seven-day service

Readers panel - No such thing as a weekend

What would be the effect on nurses of delivering a seven-day service at no extra cost to the NHS?

A seven-day diabetes service for inpatients and the emergency department in an acute hospital setting – the East and North Herts Diabetes Outreach Team (DOT)

There is evidence that all hospital-based care needs to improve across 7days. Inpatients with diabetes require better specialist attention and improved clinical outcomes. The East and North Herts inpatient diabetes service has responded to this challenge with care now delivered by consultants and diabetes nurses, 365days per year. We set out to provide a prospectively measurable improvement in ascertainment of appropriate patients alongside a 'care bundle' to ensure they receive a better quality experience. We also set out to document quantifiable changes in clinical data. A seven-day service is now in place and provides a variety of benefits to both professionals and patients alike.

Seven-day GP service would require significant extra funding

Seven-day GP service would require significant extra funding

Scotland’s health secretary calls for seven-day service

Scotland’s health secretary calls for seven-day service